Doctor visits and therapy CPT 99397 Outpatient

Annual physical, returning 65+ cost in New York, NY

In New York-Newark-Jersey City, NY-NJ, 31 hospitals list a cash price for preventive checkup, returning patient aged 65 or older: from $51.33 to $15,052.00, with a median of $334.90. The lowest listed price is at Newton Medical Center — $283.57 less than the median here. Across New York, the median is $203.82 at 62 hospitals.

  • The median here, $334.90, is 121% above the US median of $151.85.
  • 11 of 31 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 31 facilities across 22 cities for code 99397, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 8, 2026; the hospital files themselves were last updated between Apr 22, 2025 and Sep 28, 2026.

Lowest$51.33Newton Medical Center
Median$334.90half of hospitals charge less
Highest$15,052.00in this market
Difference293.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in New York-Newark-Jersey City, NY-NJ.

median
Lowest $51.33Highest $15,052.00

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
Newton Medical Center lowest Newton, NJ · (973) 383-2121 Preventative Well Visit File of Apr 1, 2026 · source file $51.33 $435.00 — 88%
Newton Medical Center Newton, NJ · (973) 383-2121 Preventative Well Visit File of Apr 1, 2026 · source file $70.09 $594.00 — 88%
Chilton Medical Center Pompton Plains, NJ · (973) 831-5000 Preventative Well Visit File of Apr 1, 2026 · source file $73.52 $435.00 — 83%
Overlook Medical Center Summit, NJ · (908) 522-2000 Preventative Well Visit File of Apr 1, 2026 · source file $85.70 $435.00 — 80%
Morristown Medical Center Morristown, NJ · (973) 971-5450 Preventative Well Visit+1 more line at this price File of Apr 1, 2026 · source file $87.87 $435.00 — 80%
NYU Langone Brooklyn, NY HC PER PM REEVAL EST PAT 65+ YR File of Jan 1, 2026 · source file $124.54 $655.49 $132.00–$1,210.00 81%
NYU Langone Hospital - Suffolk Patchogue, NY · (631) 654-7100 HC PER PM REEVAL EST PAT 65+ YR File of Jan 1, 2026 · source file $124.54 $655.49 $132.00–$1,210.00 81%
NYU Langone – Tisch Hospital New York, NY · (212) 263-7300 HC PER PM REEVAL EST PAT 65+ YR File of Jan 1, 2026 · source file $124.54 $655.49 $132.00–$1,210.00 81%
NYU Langone Mineola, NY HC PER PM REEVAL EST PAT 65+ YR File of Jan 1, 2026 · source file $124.54 $655.49 $132.00–$1,210.00 81%
NYU Langone – Orthopedic Hospital New York, NY HC PER PM REEVAL EST PAT 65+ YR File of Jan 1, 2026 · source file $124.54 $655.49 $132.00–$1,210.00 81%
Nassau University Medical Center East Meadow, NY · (516) 572-0123 Well Re-Visit 65+ File of Oct 28, 2025 · source file $130.39 $186.27 $111.76–$389.37 30%
St Joseph's Hospital, Yonkers Yonkers, NY · (914) 378-7000 Prev Visit, Est, 65 & Over 99397+2 more lines at this price File of Jul 13, 2026 · source file $134.35 $1,251.00 $80.61–$1,000.80 89%
Bronx-Lebanon Hospital Center - Concourse Division Bronx, NY · (212) 588-7000 PERIODIC COMPREHENSIVE PREVENTIVE MEDICI File of Apr 17, 2026 · source file $190.00 $190.00 $39.48–$133.00 —
BronxCare Hospital Center - Fulton Campus Bronx, NY · (212) 588-7000 PERIODIC COMPREHENSIVE PREVENTIVE MEDICI File of May 5, 2026 · source file $190.00 $190.00 $39.48–$133.00 —
Stony Brook Southampton Hospital Southampton, NY ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) File of Jun 17, 2026 · source file $216.78 $216.78 — —
Stony Brook Southampton Hospital Southampton, NY PER PM REEVAL EST PAT 65+ YR File of Jun 17, 2026 · source file $231.95 $231.95 — —
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) File of Mar 25, 2026 · source file $328.00 $328.00 $70.00–$1,912.00 —
St Johns Episcopal Hospital Far Rockaway, NY · (718) 869-7000 PER PM REEVAL EST PAT 65+ YR File of Apr 7, 2026 · source file $334.90 $394.00 $132.00–$210.00 15%
Montefiore Mount Vernon Hospital Mount Vernon, NY · (914) 664-8000 HC PER PM REEVAL EST PAT 65 YR99397 File of Sep 28, 2026 · source file $336.70 $518.00 $102.24–$422.94 35%
Jamaica Hospital Medical Center Jamaica, NY · (718) 262-6000 PER PM REEVAL EST PAT 65+ YR File of Mar 25, 2026 · source file $361.00 $361.00 $70.00–$1,912.00 —
Mount Sinai Queens Long Island, NY HC Prev Visit Est Pt 65+ Yrs+2 more lines at this price File of Apr 1, 2026 · source file $364.50 $405.00 — 10%
Mount Sinai Morningside New York, NY HC Prev Visit Est Pt 65+ Yrs+2 more lines at this price File of Apr 1, 2026 · source file $364.50 $405.00 — 10%
Mount Sinai Brooklyn Brooklyn, NY · (212) 420-2000 HC Periodic Preventive Med Est Patient 65yrs& Older+2 more lines at this price File of Apr 1, 2026 · source file $364.50 $405.00 — 10%
The Mount Sinai Hospital New York, NY · (212) 241-7981 HC Periodic Preventive Med Est Patient 65yrs& Older+2 more lines at this price File of Apr 1, 2026 · source file $364.50 $405.00 — 10%
Bronx-Lebanon Hospital Center - Concourse Division Bronx, NY · (212) 588-7000 PREVEN MEDS E&M ESTAB PT; 65/> File of Apr 17, 2026 · source file $373.00 $373.00 $128.97–$335.70 —
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) File of Mar 25, 2026 · source file $373.00 $373.00 $69.52–$1,912.00 —
BronxCare Hospital Center - Fulton Campus Bronx, NY · (212) 588-7000 PREVEN MEDS E&M ESTAB PT; 65/> File of May 5, 2026 · source file $373.00 $373.00 $128.97–$335.70 —
Flushing Hospital Medical Center Flushing, NY · (718) 670-5000 PER PM REEVAL EST PAT 65+ YR File of Mar 25, 2026 · source file $377.00 $377.00 $69.52–$1,912.00 —
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 PER PREV MED E/M EP 65+YRS+1 more line at this price File of Apr 1, 2026 · source file $385.00 $385.00 — —
Stony Brook University Hospital Stony Brook, NY · (631) 444-4000 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) File of Jun 10, 2026 · source file $424.00 $424.00 $4,255.00 —
CentraState Medical Center Freehold Township, NJ · (732) 294-7012 Preventative Well Visit File of Apr 1, 2026 · source file $435.00 $435.00 — —
Montefiore Medical Center Bronx, NY · (718) 920-4321 PR PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER File of Sep 28, 2026 · source file $497.04 $760.00 $41.56–$690.90 35%
Westchester Medical Center Valhalla, NY · (914) 493-7000 PER PM REEVAL EST PAT 65+ YRS File of Jul 28, 2026 · source file $524.00 $524.00 $95.59–$568.00 —
St Johns Riverside Hospital Park Care Pavillion Yonkers, NY · (914) 964-4444 PER PM REEVAL EST PAT 65+ YR File of Mar 27, 2026 · source file $526.15 $619.00 $135.00–$3,783.00 15%
Maimonides Medical Center Brooklyn, NY · (718) 283-6000 WELL VST,EP, >64YR,(99397) File of Apr 1, 2026 · source file $550.00 $550.00 — —
Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 ESTABLISHED PATIENT PERIODIC PREVENTIVE MEDICINE EXAMINATION (65 YEAR OLD OR OLDER) File of Jul 27, 2026 · source file $575.93 $575.93 $413.00–$926.00 —
Brooklyn Hospital Center at Downtown Campus Brooklyn, NY · (718) 250-8000 PER PM REEVAL EST PAT 65+ YR File of Jul 27, 2026 · source file $628.68 $628.68 $413.00–$926.00 —
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 99397 PERIODIC PREV MED EST PT 65&UP File of Nov 19, 2025 · source file $713.00 $810.00 $36.00–$810.00 12%
Saint Peters University Hospital New Brunswick, NJ · (732) 745-8600 PERIODIC PREV MED EST PT 65&UP File of Nov 19, 2025 · source file $1,087.00 $1,105.00 $18.00–$1,105.00 2%
University Hospital of Brooklyn Brooklyn, NY · (718) 270-1000 99397 - PER PM REEVAL EST PAT 65+ YR File of Apr 22, 2025 · source file $15,052.00 $15,052.00 $9,948.00–$20,493.00 —
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

Outpatient: lowest $51.33, median $334.90, highest $15,052.00 — a 293.2× difference within the same market.

As an inpatient, the same code is billed by 18 facilities here, median $269.42. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 17 of 20 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 6 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What annual physical, returning 65+ is, what the price covers and why prices differ: Annual physical, returning 65+ explained.

3 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 99397 ($167.25). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

HospitalCash priceFile
Brookdale Hospital Medical Center Brooklyn, NYHC PREV MED EST AGE 65YRS & OLDER $0.01 file
Interfaith Medical Center Brooklyn, NYHC PREV MED EST AGE 65YRS & OLDER $0.01 file
Kingsbrook Jewish Medical Center Brooklyn, NYHC PREV MED EST AGE 65YRS & OLDER $0.01 file
File Link to the hospital's own price file.